JASON PUCHALSKY (LICSW) – Cognitive & Behavioral Psychologist, NPI 1437817269
Cognitive & Behavioral Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,194 CLINICAL SOCIAL WORKER in MA
Provider Addresses for JASON PUCHALSKY (LICSW)
1067 EDGELL RD
FRAMINGHAM, MA 017013138
Phone: (917) 232-0794
Type: Mailing
1881 WORCESTER RD STE 100
FRAMINGHAM, MA 017015410
Phone: (908) 670-5843
Type: Location
120 WARDS RAVINE WAY
ST JOHNS, FL 322599398
Phone: (908) 670-5843
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-12-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240425000863 | I | Clinical Social Worker | MA | TBD |
| I20241213003589 | I | Clinical Social Worker | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 01701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MD | |
| Mental Health Counselor | MD | |
| Clinical Social Worker | MA | |
| Clinical Social Worker | MA | |
| Clinical Social Worker | VA | |
| Mental Health Counselor | WV | |
| Clinical Social Worker | VA | |
| Clinical Social Worker | MD | |
| Mental Health Counselor | VA | |
| Clinical Social Worker | SC |
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